Dropped by
a clay juggernaut (Sebilis)
a Gorowyn archimage (Chardok)
a Gorowyn knight dragoon (Chardok)
a Grungetalon advisor (Runnyeye: The Gathering)
a magmatic destroyer (Jarsath Wastes)
a Runnyeye elite (Runnyeye: The Gathering)
a skyfire wyvern (Jarsath Wastes)
a spectral harbinger (Sebilis)
a Yha-lei enforcer (Chelsith)
a Yha-lei propagator (Chelsith)
Bi'lithu of the Old Ways (Charasis: Maiden's Chamber)
Derzitha of the Jarsath (Charasis: Maiden's Chamber)
Ebonmaw (Jarsath Wastes)
Gear of the Ancients (Charasis: Maiden's Chamber)
Gok'Chai the Substantiator (Chelsith)
High Ambassador Guralz (Sebilis)
Impaler Tzilug (Charasis: Maiden's Chamber)
Imperial Crypt Guardian (Sebilis)
Korucust (Court of Korucust)
Krel'Vhap the Defeater (Chelsith)
Kuom'Ziki the Prevailer (Chelsith)
Leviathor'Consuma (Chelsith)
Leviathor'Glamar (Chelsith)
Megalodon (Jarsath Wastes)
Mucus of the Deep One (Chelsith)
Nihilist Yeegarn (Sebilis)
Silzok Foi'zarth (Chardok)
Snaggletooth (Sebilis)
The Blue Baron (Chelsith)

Confirmed Locations
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Mobs that drop this item also drop